Online Application Form


Select Title (required)


/ /

Membership Type (required)

Payment Method (required)

Declaration

I certify that the above information is true and correct to the best of my knowledge.
I understand that membership is voluntary and at my own risk.
I agree to abide by the rules and constitution of the club.
I agree to the information I have provided being stored on the club database, shared with other club members and for membership purposes.

By ticking this box, I confirm I have read and agree to the above declaration

Once the Form is completed and sent, please complete payment via either;

PayPal by clicking “Buy Now” button below. (You do not need a PayPal account, you can pay via PayPal using a credit or debit card).




Bank Transfer. Details are below. (Please make sure you add your name as a reference so we know who the payment is to be credited for). 

Electronic Payment Details

Account Name: Kippax Harriers

Sort Code: 40-39-21

Account No: 01101536

If you would like to pay by Cash or Cheque please arrange this with the Membership Secretary when you are contacted.

Finally, If you would like to order a Kippax Harriers Running Vest (or any other Kippax Harriers Kit) please head on over to the Kit section here to order.